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Are the basic medical sciences being eroded?
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Are the basic medical sciences being eroded?
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The Lancet has an article about how the the basic medical sciences are being "systematically eroded.", which will " have damaging effects on clinical care over the next two decades. The foundations of
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Are the basic medical sciences being eroded?

posted at 10/4/2012 9:37 AM BST on bmj.com
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The Lancet has an article about how the the basic medical sciences are being "systematically eroded.", which will " have damaging effects on clinical care over the next two decades. The foundations of fundamental knowledge about health will be fractured. The platform for applied research will have atrophied. Patient care will be harmed by the prevailing short-sighted and expedient approach to discovery science."

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2812%2960539-X/fulltext

Is epidemiology the basic science of clinical medicine? Have the basic medical sciences become marginalised? Do we need to restore a better balance/emphasis?




Is research into the basic medical sciences becoming less easy to publish in?

Re: Are the basic medical sciences being eroded?

posted at 10/4/2012 5:08 PM BST on bmj.com
Posts: 1287
First: 9/12/2011
Last: 24/5/2013
Yes,  and the basics need to be reformulated to a higher standard.
I will cover this in a future post, on CBRNE and Medical education.   DuaneF

Re: Are the basic medical sciences being eroded?

posted at 10/4/2012 5:30 PM BST on bmj.com
Posts: 3045
First: 27/3/2012
Last: 20/5/2013
Definitely! More importance is being given to unnecessary investigations.
We must be clinically sound & that should be our goal in achieving expertise!
Although medicine is a constantly developing science , we must  follow on what we know definitely!

Re: Are the basic medical sciences being eroded?

posted at 10/4/2012 10:07 PM BST on bmj.com
Posts: 24
First: 14/5/2009
Last: 7/4/2013
In Response to Are the basic medical sciences being eroded?:

                             Prophesying doom:
good clinical medicine will be eroded by bad research medicine



Yes, the basic good science of clinical evidence based patient oriented medicine is being eroded by basic bad science of biased sponsored by industry oriented, drug oriented or innovation and discovery oriented research.

I include a rapid response dated 29 march 2012 (see bmj/hoogenraad/alzheimer/scheltens)

Re: Prophesying doom

29 March 2012

- Cassandra, the soothsayer of Troy warned the Trojans for the wooden horse that the Greeks had build. She prophesied that the wooden horse would lead to the downfall of the city Troy. She was not believed, but her words became true and she became frustrated.

- Laocoon, a Trojan priest, also warned the Trojans by saying: “Timeo Danaos et dona ferentes”(I fear Greeks and the more so if they bear gifts).

- Allyson Pollock, a hero in the struggle for public health prophesied that market oriented medicine would be expensive and damaging for patient oriented health service.

- Ben Goldacre (BMJ, 2009; published 29 November 2009) said that drug companies have a conflict of interest when they conduct trials and that this conflict results in bad evidence, distorting medical decision making and harming patients. In accordance with Ben Goldacre’s ideas and after transposition of Laocoon’s phrase to our actual discussion we get something like: “I fear food and drug companies and the more so if they sponsor clinical trials”

I was stimulated to write this response when I was informed by the daily journal NRC Handelsblad of 12 mars that on 16 mars 2012, Philip Scheltens would present a paper entitled: ‘Dementia in 2020: solution nearby?’ in which he would discuss that clinical studies on food additives for Alzheimer’s disease are going on and that they are co-sponsored by the food industry. Scheltens is founder and director of the Free University Alzheimer Center in Amsterdam.

In accordance with Ben Goldacre and Allyson Pollock I can prophesy that such sponsoring by the food industry must lead to a conflict of interest, that the industry sponsored clinical studies will result in biased evidence with the risk that it might be harmful for patients with Alzheimer’s disease. Therefore my variant of Laocoon’s Trojan horse phrase is now: “Fear food industry and the more so if they sponsor clinical studies on Alzheimer’s disease.”

Competing interests: None declared



The Lancet has an article about how the the basic medical sciences are being "systematically eroded.", which will " have damaging effects on clinical care over the next two decades. The foundations of fundamental knowledge about health will be fractured. The platform for applied research will have atrophied. Patient care will be harmed by the prevailing short-sighted and expedient approach to discovery science." http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2812%2960539-X/fulltext Is epidemiology the basic science of clinical medicine? Have the basic medical sciences become marginalised? Do we need to restore a better balance/emphasis? Is research into the basic medical sciences becoming less easy to publish in?
Posted by mbillingsley


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